Sinubronchial Syndrome
| Classification according to ICD-10 | |
|---|---|
| R09.8 | Other specified symptoms affecting the circulatory and respiratory systems |
| J42 | Unspecified chronic bronchitis |
| ICD-10 online (WHO version 2019) | |
The sinubronchial syndrome (also postnasal drip syndrome , PNDS or new Upper Airway Cough Syndrome , UACS ) is a disease of the upper respiratory tract and lower respiratory tract .
Symptoms
- frequent throat clearing
- Mucus flowing down the throat into the bronchi
- Cough with sputum, dry cough
- Chest pain,
- Headache and facial pain,
- stuffy nose
- general feeling of illness
Cause and course
The cause of PNDS is mostly viral or bacterial sinusitis or rhinosinusitis , which spreads into the lower respiratory tract. The underlying diseases can be: a turbinate thickening, a crooked nasal septum, polyps and tumors.
The mucus caused by the sinus infection enters the tracheo bronchial system and triggers acute bronchitis .
therapy
Are used secretolytics , the mucolytic Myrtol , an anti-inflammatory therapy (eg., By cortisone-containing nasal spray) and schleimhautabschwellende or anti-allergic drugs, antihistamines , antibiotics, leukotriene receptor antagonists , cough suppressants , supportive dexpanthenol , further inhalation and rinses of the sinuses with sage concentrate or chamomile, each plus 0.9% salt solution. This physiological saline solution is required during irrigation in order to prevent damage to the mucous membranes through osmotic processes. Contrary to popular belief, a nasal douche is usually only used to rinse the nasal mucous membranes, but not the sinuses, which are much more difficult to reach, e.g. B. by bending the head forward with the nasal cavity completely filled with the rinsing liquid (then hold the nose closed). Pulling and light pressing can aid penetration. The process can take several minutes to fill the sinuses, at least in part. The measures are to be repeated several times a day, and before that, a thorough removal of the mucus that has formed is to be ensured by vigorous sniffing. For a limited time, decongestant nasal drops can open the accesses blocked by the swelling. Surgical therapy is an option if conventional measures do not work.
Individual evidence
- ↑ AH Morice: Post-nasal drip syndrome - a symptom to be sniffed at? In: Pulmonary Pharmacology & Therapeutics . Volume 17, Number 6, 2004, pp. 343-345, ISSN 1094-5539 . doi : 10.1016 / j.pupt.2004.09.005 . PMID 15564073 . (Review).
- ^ M. Rosenberg: Clinical assessment of bad breath: current concepts. In: Journal of the American Dental Association . Volume 127, Number 4, April 1996, pp. 475-482, ISSN 0002-8177 . PMID 8655868 . (Review).
